NCT04197271

Management of Acutely Symptomatic Hernia

Management of Acutely Symptomatic Hernia: An Observational Study

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 280 (actual)
• Sponsor: Sheffield Teaching Hospitals NHS Foundation Trust · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Acutely symptomatic abdominal wall hernia can cause many symptoms and complications. They can be associated with levels of morbidity beyond that seen in emergency laparotomy. There is limited data to guide practice in this field. This observational cohort study will explore variation in practice around assessment, repair and outcomes of hernias treated in the emergency setting.

Detailed description

There are many different types of hernia, with the most common being in the groin or at the umbilicus. Hernias affect a significant proportion of the population and can vary from producing no symptoms at all, to causing a blockage to the bowel that requires urgent surgery. Hernias affect people of all ages and degrees of health, but become increasingly common with age. As our population ages and therefore becomes generally more unwell, the risks of surgery increase. Recent evidence suggests that emergency hernia repair is associated with worse outcomes than planned procedures. At present there are limited guidelines for the management of acutely symptomatic hernias and therefore practice varies between hospitals. This cohort study will capture information on patients treated in the UK for acutely symptomatic hernia, and will provide information on variation in assessment, and technical aspects of repair. It will also capture health utility data out to 90 days post discharge from hospital.

Conditions

• Hernia
• Emergencies
• Surgery--Complications

Interventions

Type	Name	Description
PROCEDURE	Emergency Hernia Repair	Emergency repair of hernia using method selected by treating surgeon.
OTHER	Conservative management	Treatment of hernia without resort to surgery

Timeline

• Start date: 2020-03-03
• Primary completion: 2020-11-30
• Completion: 2021-03-24
• First posted: 2019-12-13
• Last updated: 2021-01-06

Locations

1 site across 1 country: United Kingdom